Individual provider · Type 1 NPI

Jarvis Dwayne Berry Sr.

Community/Behavioral Health Agency · Phoenix, AZ

NPI number 1669004727 Active

Practice location

6150 W Cheery Lynn Rd
Phoenix, AZ 85033-5833

Call (623) 440-8989 Map

Mailing address

PO Box 6751
Goodyear, AZ 85338-0630

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XBH5698 (AZ)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1669004727

Jarvis Dwayne Berry Sr.'s National Provider Identifier is 1669004727, issued on Feb 6, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 21, 2020.